HomeMy WebLinkAbout156-26Th!CCWED S K- ooS3S
lo
Date
OCT 152028 Soil Test # 16 _
Bayfield Co. Bayfield County
Planning and Zoning Agency Waiver of a Thorough Soil & Site Evaluation
(subject to 15-1-10(d))
I Tov-ty Po / k05 (Ca certified soil tester determine that in my professional
judgment the following is unsuitable for any treatment component other than holding
tanks. Due to soil & site conditions, a thorough soil and site evaluation is not needed to make such a
determination.
Pro ert OwnerCkri5Tpphet .�'Shert p y tStnv Contractor
Property Address.
Authorized Agent
Agent's Telephone
Telephone -7 &?-2.-32_- 3S s-7 Written Authorization Attached: Y or N
Accurate Legal Description is requested:
1/4 of 1/4 Section Township N. Range W. Town of
Additional Legal Description: See Co Toclned Se tnedole
Govt. Lot Lot Block Subdivision
Lot CSM# Vol. Page CSM Doc #
Volume Page of Deeds Tax I.D#
366'9"7
Acreage
7_5
Indicate reasoning for your determination:
All 3 Yes -r P;Ts -
O -36
Signature of Certified Soil Tester
/0-tq-Z,G
Date
11x68 -s -r -
Certification #
(Submit a Plot Plan & Fee)
u/forms/s oil testwa iver(K LK)
June 2018
RECEIVED
OCT 15 2026
Bayeeid Co. SCHEDULE C
Planning and Zoning Agency
LEGAL DESCRIPTION
LOT 2 OF CSM #1839 RECORDED AS DOCUMENT #2013R-548794 IN VOL. II OF CSM'S
ON PAGES 21 - 22 IN THE BAYFIELD COUNTY REGISTRY, LOCATED IN GOV'T LOT
3, SECTION 5, TOWNSHIP 49 NORTH, RANGE 9 WEST, TOWN OF ORIENTA,
BAYFIELD COUNTY, WISCONSIN.
Combined Soil Evaluation Plot Plan - System Plot Plan
Component Manual Design References:
Holding Tank Version 2.1 ti
Owner: Christopher & Sheri Gray 11 U M
Site Address: N/A o R
Tax ID: 36697
Legal Description: LOT 2 OF CSM #1839 RECORDED
AS DOCUMENT #2013R-548794 IN VOL. 11 OF CSM'S
ON PAGES 21 - 22 IN THE BAYFIELD COUNTY
REGISTRY, LOCATED IN GOV'T LOT 3, SECTION 5,
TOWNSHIP 49 NORTH, RANGE 9 WEST, TOWN OF
ORIENTA, BAYFIELD COUNTY, WISCONSIN.
-----• Approximate Property Line
A Benchmark - Screw in Spruce Tree
Elevation - 100'
0 Soil Test Pits:
1 - Elevation - 98.6
2 - Elevation - 98.5
3 - Elevation - 98.3
Soil Evaluated By: Tony olkoski - 11068 ST
Plumber: Allan Polkoski - PMRS 220090
Lake Superior
Elevation 67.7'
Proposed 3
Bedroom H'
No existing wells on Property
7703
02
Proposed
Garage
0 50 100 ft
liii N
01
Wieser WLP2500
All piping shall conform to
SPS Table 384.30-3 and
SPS Table 384.30-5
sate X(rsq!
13
BtYFIELD Bayfield County
Planning & Zoning Department
117 E 5th Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner:
GRAY, CHRISTOPHER J & SHERI J
8025 SCHENDEL LAKE DR
LORETTO, MN 55357
Description
Certified Soil Tests - Review & Filing Fee
Submission Number:
SR -00535
Transaction Number:
SR-00535-5BC44
Amount
$50.00
Total: $50.00
Payment Amount: $50.00
Reference: 6377
Paid by: Polkoski Plumbing, PO Box 522, Iron River WI 54847
Payment Type: Check
Transaction Date: 10/20/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.